The bill authorizes the Wyoming Department of Health to seek enhanced Medicaid reimbursement for eligible providers of maternal services, specifically targeting those in rural and frontier areas. It defines "eligible providers" as healthcare professionals enrolled in Medicaid with relevant privileges, including obstetricians, family physicians, midwives, and general surgeons. The enhanced reimbursement aims to increase access to prenatal, intrapartum, and postpartum care, reduce maternal and neonatal morbidity and mortality, and preserve obstetric provider capacity in rural Wyoming. The department is also required to report to the joint appropriations committee and the joint labor, health, and social services interim committee by October 31, 2027, detailing the costs associated with these increased reimbursements and any recommendations for modifications.

Additionally, the bill appropriates $1,000,000 from the general fund and $1,000,000 from federal funds to support the enhanced Medicaid reimbursement for eligible providers, with the funding period set from July 1, 2026, to June 30, 2028. The appropriated funds are restricted to this purpose and any unspent funds will revert by June 30, 2028. The Department of Health is tasked with creating necessary rules for implementation, and the act will take effect upon approval of the state plan amendment by the Centers for Medicare and Medicaid Services, with certain sections effective immediately upon the bill's enactment.